HomeMy WebLinkAbout010-941-32-1302-SGN-1994-006 Application for Sign Permit �
. County of Sawyer /�'�
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The undersigned hereby makes application for a Sign Permit and o
agrees that e11 iaork sha21 be done in accardance ioith the require- p �
ments of the Satiayer County Zoning Ordinance and the laws and reg- o
ulations of the State of Wisconsin. �n
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CP NI C • I Ib.l!`N— �l(1r1 CCCT .'/14 41 CC�cCl/CUT 11CC n►et a/ �^
,TALLATION APPLICATION AND PERMIT W�scona�nDepaAmentofTren�poAalion
imary Highway Systems -
Submlt the following to the DlsVict OHice IdentlNed In the block entlUed, "Mail Completed Permft Applicatlon To"
ntfon with all entries completed down to broken line;
.etch illustrating the size (by dimensions), shape, color scheme and message of the proposed display; '
,lan drawing, detailing sign positioning with respect to the highway, direction(s) of the sign's facing(s), and whether the display
atng or free standing. The location for On properry signing shall be referenced (distance shown) to the nearest part of the building
,1ivity is conducted or managed. Include on the drawing the locations of property lines and development features, such as customer
,ocumentation trom the jurisdictional zoning authoriry to prove how the property is zoned, include date current zoning was established.
ng has been assignad to the property, include a statement from the jurisdiclional zoning authority to the eHec1 that the land is unzoned;
�or money order (no cash) made payable to: Wiaconsin Dept. of TranspoRation to cover the required permit tee. (See Rem �6 on back.)
,y No. 2.County � 3. � CMy �Vlllege 1.Highway Side �North aet
� I' �� /� r-�, l�� �Soulh � West
end zoning �proof�upplled) � 8. Sig Locet�on ,/
� •-• � Slgn to be localed withln the-� � querter of Ihe /V� querter of Sectlon �3�-
Dafs of 2onina / (� � East
�� �� � � ` �� � Tamahip `7' � North, Range 7 � est
7.DlHene�bNwwn dpn�N� �nd n�ued hlphwey intanecllon b�Nhs sld�d th�rsguteled hiphway In both dinctbm elony th�rsguleled hiphway
Indlcaf�part of IMerssctlon hom which measuremenl teken � n
�,'�L�o �%T �, ��h'/f/s �d/� �
(FNt� (Esst,West,North, South) � � entNy roed msuursd hom)
!. Dldurc�hom tM hlghway rlght way Iln� B. Slgn lo�ec� (compnts dlnctlon) 10.Slgn Illuminatlon � edy Iight
7 � �a U 7 (F�9 / a No ugnu--
11.Nems�nd drsu of penon or compeny who wlll Instell Ihs Ign M eppioved 12. Installer Ilcenx number M none,so dale.
-�lo�r' �= ��/.S� . � �L//S S / �- - / �",�
13. Sign egory 15. Sign Type
❑ More than 660 feet trom highway right of way � Single Face [�''�Type
May apply to any of the following: � Back to Beck � Over Under
❑ On Advertised Property Free Standing ❑ Sfde by Side
❑ On Advert(sed Property and on building �e.aPPu�,�i N�e Telephons
❑ On Advert(sed Property for puidance of internal traffic } �1 � / �f�
❑ Off Advert(sad Property (Must complete item �7 on back) Strsel Addreu
❑ Service Club - � � �j -
❑ Religious Notice �hy,s�e, z� ' / 1
❑ Sign on oHicially designated school bus stop shelter � / � / L ' C
��`'/ �LG c� � � . / ,
AHidavit from school oHicials required Mell mpleted Permfl Applicatlon To DOT Dlsirlct Of(Ics:
{;r�tr�y �ertram
Directional as defined by Subsec. Trans. 201.05 Admin. Code •
(Must complete item �7 on back) �1���.+�-ict 8 Sign Permit Coordinator
H box is checked, advertiser sign below: � `^?: �f'�
Official si n CI Villa e, Town, Coun State, oHicial to be a licant � � � ' =��
❑ 9 � �Y, 9 tY. PF � ) . , �
M box is chacked, oHicial siQn below:
Ths �nd�rsigned aoplicant requests pe ' sion to instafl and/ot
maint� ing as 9cribed. �� �
4.,`J, �-n(r�(,���, � C.�,)�,� I� '�
X . - - . �x _ �1�u= ' f/�`` _
(14.Advertiser OFi OHiclel Signelure� (1 . rmH Appllcant) (Dete)
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
PERMIT
SubJect to compHanca by tha applicant with all requirements of a.84.30 Wis. Stats., with Ch. Trans. 201 Wis. Admin, Code, with other statutes and
codes applying, and with all standerd and special provisfons on the reverse face or attached, permit approval Is granted to euthorize installation and
malntenance oi the specfftc advertising or iniormat(ve display described at the precise location defined. This permit will expire one year after the
Permit Issuance Date if the sign permitted here is not Installed by that time, unless the Depa�tment has granted a time extension In response to written
justifications.
Access trom the travel lane or any Interchange ramp of any Interstate highway or any other controlled access highway for the installation, maintenance
or repalr of the sign fs expressly prohibited.
Completed by Wisconsln Depa►iment of Transportatlon:
Sign Ars�� fl.) Check Number Fse RaceNed PermX VeKiance Dede PormM Number �
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ThI� P�rmlt Is Revoca len � ey � `
,� � I �� �"7 � �� ; � � � _.!( . Provel for S1ate Maintennnce Englneer lor Highwey�)
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